National Provider Identifier
Tyrone Reid
Tyrone Reid is listed in the NPPES registry with a primary specialty of Licensed Vocational Nurse in Rochester, NY and a listed phone number of (585) 405-4858.
Profile Overview
- NPI
- 1710613005
- Provider Type
- Individual
- Primary Specialty
- Licensed Vocational Nurse
- Enumeration Date
- July 28, 2022
- Last Updated
- November 03, 2023
Practice Location
- 4133 Dewey Ave
- Rochester, NY 14616-1214
Phone: (585) 405-4858
Specialties
- Licensed Vocational Nurse (164X00000X)
Full Record
- NPI
- 1710613005
- Entity Type
- Individual
- Last Name
- Reid
- First Name
- Tyrone
- Mailing Street Address
- 4133 Dewey Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14616-1214
- Mailing Country
- US
- Mailing Phone
- (585) 405-4858
- Practice Street Address
- 4133 Dewey Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14616-1214
- Practice Country
- US
- Practice Phone
- (585) 405-4858
- Enumeration Date
- July 28, 2022
- Last Updated
- November 03, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- November 03, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Vocational Nurse (164X00000X)